脑卒中住院患者支气管感染的相关因素分析与预防  

Related factors and prevention of bronchial infection in inpatients with stroke

作　　者：宋俊莉[1] 苏小霞[1,2] 牛延良[1,2] 鲁小丽 杜立峰[1,2] 

机构地区：[1]郑州大学第五附属医院神经内二科,河南郑州450052 [2]郑州大学第五附属医院重症监护室,河南郑州450052

出　　处：《中华医院感染学杂志》2016年第8期1738-1740,共3页Chinese Journal of Nosocomiology

基　　金：河南省自然科学基金资助项目(hn2981822)

摘　　要：目的分析脑卒中住院患者支气管感染的相关因素及护理预防对策,以降低脑卒中住院患者支气管感染发生率。方法回顾性分析2010年6月-2015年6月收治的1 200例脑卒中患者临床资料,调查脑卒中患者发生支气管感染状况以及相关危险因素,数据采用SPSS 16.0软件进行统计分析。结果 1 200例脑卒中患者中发生支气管感染102例,感染率8.50%;经logistic回归逐步分析显示,侵入性操作、年龄>60岁、住院时间>20d、伴有意识障碍、伴有吞咽困难、伴有糖尿病、使用抗菌药物以及冬春季住院等因素是脑卒中患者发生支气管医院感染的独立危险因素(P<0.05)。结论脑卒中住院患者并发支气管医院感染受到多种因素影响,在护理工作中采取针对性的预防措施,可以降低该疾病的发生。OBJECTIVE To analyze related factors and preventive nursing measures of bronchial infection in inpatients with stroke,so as to reduce incidence of bronchial infection in inpatients with stroke.METHODS From Jun.2010-Jun.2015,clinical data of 1 200 stroke patients were analyzed retrospectively.Status of bronchial infection and related risk factors in stroke patients were explored.Data were analyzed with SPSS 16.0.RESULTS A total of102 of 1 200 stroke patients who were suffered from bronchial infection,infection rate was 8.50%.Logistic stepwise regression analysis showed that invasive procedures,age（ 60years）,hospitalization time（ 20d）,combination of disturbance of consciousness,combination of swallowing difficulty,combination of diabetes,use of antimicrobial drugs,and hospital stay in winter or spring and other factors were independent risk factors for stroke patients suffering from bronchial hospital infections（P〈0.05）.CONCLUSION There is a variety of factors that influence stroke inpatients to have nosocomial bronchial infections.Taking appropriate precautions in care can reduce incidence of the disease.

关 键 词：脑卒中 支气管 医院感染 预防对策 

分 类 号：R743.3[医药卫生—神经病学与精神病学]